Stewart D E, Robinson E, Goldbloom D S, Wright C
Department of Psychiatry, St. Michael's Hospital, Toronto, Ontario, Canada.
Am J Obstet Gynecol. 1990 Oct;163(4 Pt 1):1196-9. doi: 10.1016/0002-9378(90)90688-4.
Sixty-six consecutive infertility clinic patients were prospectively screened with the 26-item Eating Attitudes Test and a study questionnaire. Women identified as being at high risk for an eating disorder were then interviewed to confirm or refute the diagnosis. A total of 7.6% of infertility clinic women were found to suffer from anorexia nervosa or bulimia nervosa. If eating disorders not otherwise specified were included, a total of 16.7% of infertility patients were found to suffer from an eating disorder. Among infertile women with amenorrhea or oligomenorrhea 58% had eating disorders. Because women often fail to disclose eating disorders to their gynecologists and may appear to be of normal weight, it is recommended that a nutritional and eating disorder history be taken in infertility patients, particularly those with menstrual abnormalities. It has previously been shown that disorder eating and nutrition can affect menstruation, fertility, maternal weight gain, and fetal well-being.
连续66名不孕不育门诊患者接受了26项饮食态度测试和一份研究问卷的前瞻性筛查。被确定为饮食失调高危人群的女性随后接受了访谈，以确诊或排除诊断。发现共有7.6%的不孕不育门诊女性患有神经性厌食症或神经性贪食症。如果将未另行指定的饮食失调包括在内，发现共有16.7%的不孕患者患有饮食失调症。在闭经或月经过少的不孕女性中，58%患有饮食失调症。由于女性往往不向妇科医生透露饮食失调情况，而且体重可能看似正常，因此建议对不孕患者，尤其是月经异常的患者，了解其营养和饮食失调史。此前已有研究表明，饮食和营养紊乱会影响月经、生育能力、孕期体重增加和胎儿健康。
